| NPI | 1588793186 |
|---|---|
| Doing Business As | PACIFIC INTERPROFESSIONAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LISA A DOWNING Compliance Officer 503-352-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225100000X Physical Therapist |
| 103T00000X Psychologist | |
| 225100000X Physical Therapist (Licence: OR 4220) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2023-11-14 |